Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1740758325 · RICHMOND, KY 40475 · Rural Health Clinic/Center · NPI assigned 11/13/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$1.59M
Total Medicaid Paid
39,677
Total Claims
35,139
Beneficiaries
29
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (DIRECTOR, REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date11/13/2018

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,302 $130K
2020 6,587 $275K
2021 9,270 $352K
2022 8,095 $332K
2023 7,583 $285K
2024 4,840 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,035 20,154 $1.08M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,239 7,422 $261K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,847 1,501 $88K
99308 Subsequent nursing facility care, per day, straightforward 2,428 2,228 $74K
90792 Psychiatric diagnostic evaluation with medical services 280 253 $20K
90832 Psychotherapy, 30 minutes with patient 383 307 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 724 704 $10K
90686 616 601 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 147 146 $9K
90791 Psychiatric diagnostic evaluation 98 66 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 39 $4K
87428 100 96 $3K
90674 117 113 $3K
99318 51 51 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 80 65 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
96127 286 278 $1K
99215 Prolong outpt/office vis 18 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 63 58 $829.81
83036 Hemoglobin; glycosylated (A1C) 117 108 $751.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 88 65 $678.33
99442 36 16 $551.62
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 20 18 $353.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $217.20
90656 12 12 $206.35
3008F 265 253 $0.17
2014F 264 254 $0.12
1159F 149 147 $0.00
1160F 149 147 $0.00